PDF-ACS TQIP MASSIVE TRANSFUSION IN TRAUMA GUIDELINES

Released October 2014 Table of ContentsIntroductionDevelopment of a Massive Transfusion Protocol Engagement and ScopeTriggers for Initiating Massive TransfusionBlood Product Resuscitation in the Trau. 51 yrs old female patient. In ICU, POD 2 after MVrepair. isoproterenol/dopamine for junctional rhythm. BP 105/60, HR 75/min, CVP 5. ABG: normal. NC 4l O. 2. Mobilized. HCT 25.5% . → I unit of RBC → Hct 29%. .. ‘THE THREE PILLARS’. Minimise blood loss. Optimise blood volume and red cell mass. Optimise patient’s tolerance of anaemia. What is patient blood management?. Paradigm Shift. . 2001 Guidelines for . Massive transfusion protocol (MTPs) . Established to provide rapid blood replacement in a setting of severe . hemorrhage. Early optimal blood transfusion is essential to sustain organ perfusion and oxygenation. June 5, 2015. What is TEG?. TEG is a functional assay which measures the blood’s ability to form a clot. Measures clot formation via the tensile strength of fibrin-polymer-platelet complex. First developed in Germany in 1948. Morgan P. McMonagle. University Hospital Waterford. Four Broad Areas. Why Do Trauma Patients Die?. Major Trauma Outcome Study (ACS COT):. 30-40% of early trauma deaths are directly attributable to . haemorrhage. Preoperative autologous blood donation (PAD) is the process of collecting a person’s blood for their own use in the lead up to planned surgery. Routine use of this intervention is not supported b This guidance is based on the National Blood Transfusion Committee (NBTC) Indication Codes for Transfusion ( January 2020) The indications for transfusion provided below are taken from national gui transfusiony. bits). Ms. C Thompson. Consultant in Emergency Medicine. Peterborough City Hospital. Case to consider. 72 . yr. old female . pt. Known . oesophageal. varices due to NAFLD. PR bleed. Wendy Blount, . DVM. Practical Hematology. Anemia 101. Blood . Loss Anemia. Hemolysis. Non-Regenerative Anemias. Transfusion Medicine. Polycythemia. Bone Marrow Disease. Coagulopathy. Central IV Lines. MTP. ) vs Emergency Release of Blood Products at GW. Similarities between . MTP. and emergency release. Both are orders for the blood bank to immediately release blood products. A type/screen or type/cross is NOT needed to release blood products. Accomplishments. 2017-2020. February 23, 2021. Juliet Altenburg, PTSF Executive Director. 2018-2020 Strategic Plan. - Trauma Center Placement. Goal #1: Optimize Trauma Center Placement in Pennsylvania. data validation project. Amy . Svestka. , BA, EMT, CSTR. Program Manager, TQIP Data Quality. American College of Surgeons, Committee on Trauma. GA Collaborative Data Validation…. Site Selection. Random selection. NOTIFICATION OF MASSIVE PROTOCOL. BLOOD TRANSFUSION SERVICE NOTIFICATION. Receive phone call from medical team member: Lab requires Patient name and Medical Record Number . BTS staff perform Patient History Search for completed testing . METHODS. Design, setting & period: . prospective cohort; Mulago National Referral Hospital, Kampala, Uganda; . 17-02-2023 to 17-08-2023. Inclusion criteria: . adult patients undergoing emergency non-trauma laparotomy; transfusion-exposed vs non-exposed; written consent given.